Total Joint Center of Excellence Scorecard

Advanced Comprehensive Joint Certification Measures 2022/23 Inpatient

Patients who are able to walk on the same day as surgery have faster recovery. This is a measurement of hip/knee replacement patients with documented walking on the day of surgery as a percent of all hip/knee replacement patients.

THKR-1 Regional Anesthesia

  Mar '22 Mar' 22  April '22 April '22  May '22 May '22  June '22 June '22  July '22 July '22 Aug '22  Aug '22 Sep '22 Sep '22  Oct '22 Oct '22 Nov '22 Nov '22 Dec '22 Dec '22 Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23 Apr '23 May '23 June '23 July '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24
Hip N/A  N/A 1/1  100% N/A  N/A N/A  N/A N/A  N/A N/A  N/A N/A  N/A N/A N/A N/A N/A N/A N/A 0/1 0% 0/1 0% N/A N/A N/A 0% N/A N/A N/A N/A 100% N/A 100% 100% N/A 100%
Knee N/A  N/A 1/1  100% 1/1  100% N/A  N/A 1/1  100% N/A  N/A 1/1  100% N/A N/A 2/2 100% N/A N/A N/A N/A N/A N/A 1/1 100% NA 0% N/A N/A N/A N/A N/A 100% N/A N/A 100% N/A
Overall N/A  N/A 1/1  100% 1/1  100% N/A  N/A 1/1  100% N/A  N/A 1/1  100% N/A N/A 2/2 100% N/A N/A 0/1 0% 0/1 0% 1/1 100% N/A 0% N/A N/A N/A N/A 100% 100% 100% 100% 100% 100%

THKR-2 Postoperative ambulation on day of surgery within 4 hours of discharge from PACU

  Mar '22 Mar '22  April '22 April '22  May '22  May '22 June '22 June '22  July '22 July '22  Aug '22  Aug '22 Sep '22 Sep '22 Oct '22 Oct '22 Nov '22 Nov '22 Dec '22 Dec '22 Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23 Apr '23 May '23 June '23 July '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24 Mar '24
Hip N/A  N/A 1/1 100% N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 1/1 100% 1/1 100% N/A N/A N/A 0% N/A N/A N/A N/A 0% N/A 100% 100% N/A 100%
Knee N/A  N/A 1/1 100% 1/1 100% N/A N/A 1/1 100% N/A N/A 1/1 100% N/A N/A 2/2 100% N/A N/A N/A N/A N/A N/A 1/1 100% N/A 100% N/A N/A N/A N/A N/A 100% N/A N/A 0% N/A
Overall N/A  N/A 2/2 100% 1/1 100% N/A N/A 1/1 100% N/A N/A 1/1 100% N/A N/A 2/2 100% N/A N/A 1/1 100% 1/1 100% 1/1 100% N/A 50% N/A N/A N/A N/A 0% 100% 100% 100% 0% 100%

THKR-3 Discharged to Home

  Mar '22 Mar '22 April '22 April '22  May '22 May '22 June '22 June '22 July '22 July '22 Aug '22 Aug '22  Sep '22 Sep '22  Oct '22 Oct '22 Nov '22 Nov '22 Dec '22 Dec '22 Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23 Apr '23 May '23 June '23 July '23 Aug '23 Sep '23 Oct '23 Nov '23 Dec '23 Jan '24 Feb '24
Hip N/A  N/A 1/1 100% N/A N/A N/A N/A N/A N/A N/A  N/A N/A N/A N/A N/A N/A N/A N/A N/A 0/1 0% 0/1 0% N/A N/A N/A 100% N/A N/A N/A N/A 100% N/A 100% 100% N/A
Knee N/A  N/A 1/1 100% 0/1 0% N/A N/A 1/1 100% N/A  N/A 1/1 100% N/A N/A 1/2 50% N/A N/A N/A N/A N/A N/A 0/1 0% N/A 100% N/A N/A N/A N/A N/A 100% N/A N/A 0%
Overall N/A  N/A 2/2 100% 0/1 0% N/A N/A 1/1 100% N/A  N/A 1/1 100% N/A N/A 1/2 50% N/A N/A 0/1 0% 0/1 0% 0/1 0% N/A 100% N/A N/A N/A N/A 100% 100% 100% 100% 0%

THKR-4 Preoperative Functional/Health Status Assessment

  Mar '22 May '22  April '22 April '22 May '22 May '22  June '22 June '22 July '22 July '22 Aug '22 Aug '22 Sep '22 Sep '22  Oct '22 Oct '22 Nov '22 Nov '22 Dec '22 Dec '22 Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23 Mar '23 Mar '23 Mar '23 Mar '23 Mar '23 Mar '23 Mar '23 Mar '23 Mar '23 Mar '23 Mar '23
Hip N/A  N/A 1/1 100% N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A 1/1 100% 0/1 0% N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
Knee N/A  N/A 1/1 100% 1/1 100% N/A N/A 1/1 100% N/A N/A 1/1 100% N/A N/A 2/2 100% N/A N/A N/A N/A N/A N/A 1/1 100% N/A N/A 1/1 100% N/A N/A 1/1 100% N/A N/A 1/1 100%
Overall N/A  N/A 2/2 100% 1/1 100% N/A N/A 1/1 100% N/A N/A  1/1 100% N/A N/A 2/2 100% N/A N/A 1/1 100% 0/1 0% 1/1 100% 0/1 0% 1/1 100% 0/1 0% 1/1 100% 0/1 0% 1/1 100%

THKR-5 Postoperative Functional/Health Status Assessment

  Mar '22 Mar '22  April '22 April '22  May '22 May '22  June '22 June '22  July '22 July '22 Aug '22 Aug '22 Sep '22 Sep '22 Oct '22 Oct '22 Nov '22 Nov '22 Dec '22 Dec '22 Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23
Hip 0/1 0% N/A N/A N/A N/A N/A N/A 1/1 100% N/A N/A N/A N/A N/A N/A 0/1 0% N/A N/A 1/1 100% N/A N/A N/A N/A
Knee 2/4 50% N/A N/A 2/3 67% N/A N/A 1/1 100% 0/1 0% N/A N/A 0/2 0% 0/1 0% N/A N/A N/A N/A N/A N/A N/A N/A
Overall 2/5 40% N/A N/A 2/3 67% N/A N/A 2/2 100% 0/1 0% N/A N/A 0/2 0% 0/2 0% N/A N/A 1/1 100% N/A N/A N/A N/A

Advanced Comprehensive Joint Certification Measures 2022/23 Outpatient

THKR-1 Regional Anesthesia

  Mar '22 Mar '22  April '22 April '22  May '22 May '22  June '22 June '22  July '22 July '22  Aug '22 Aug '22  Sep '22 Sep '22  Oct '22 Oct '22 Nov '22 Nov '22 Dec '22 Dec '22 Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23
Hip 16/17 94% 14/14 100%  17/19 89% 26/29 90% 17/18 94% 19/19 100%  11/13 85% 19/21 90% 23/23 100% 18/23 78% 19/21 90% 13/18 72% 12/15 80%
Knee 37/39 95% 48/49 98% 30/30 100% 39/41 95% 31/32 97% 37/38 97% 37/37 100% 40/40 100% 39/40 98% 38/49 78% 38/40 95% 32/43 74% 44/52 85%
Overall 53/56 95% 62/63 98% 47/49 96% 65/70 93% 48/50 96% 56/57 98% 48/50  96% 59/61 97% 62/63 98% 56/72 78% 57/61 93% 45/61 74% 56/67 84%

THKR-2 Postoperative ambulation on day of surgery within 4 hours of discharge from PACU

  Mar '22 Mar '22  April '22 April '22  May '22 May '22  June '22 June '22  July '22 July '22  Aug '22 Aug '22  Sep '22 Sep '22  Oct '22 Oct '22 Nov '22 Nov '22 Dec '22 Dec '22 Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23
Hip 16/17 94% 13/14 93% 14/19 74% 25/29 86% 18/18 100% 16/19 84% 11/13 85% 20/21 95% 22/23 96% 20/23 87% 18/21 86% 14/18 78% 12/15 80%
Knee 34/39 87% 46/49 94% 25/30 83% 39/41 95% 30/32 94% 36/38 95% 29/37 78% 38/40 95% 36/40 90% 45/49 92% 38/40 95% 36/43 84% 48/52 92%
Overall 50/56 89% 59/63 94% 39/49 80% 64/70 91% 48/50 95% 52/57 91% 40/50 80% 58/61 95% 58/63 92% 65/72 90% 56/61 92% 50/61 82% 60/67 90%

THKR-3 Discharged to Home

  Mar '22 Mar '22  April '22 April '22 May '22 May '22 June '22 June '22  July '22 July '22  Aug '22 Aug '22  Sep '22 Sep '22 Oct '22 Oct '22 Nov '22 Nov '22 Dec '22 Dec '22 Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23
Hip 16/17 94% 14/14 100% 17/19 89% 27/29 93% 18/18 100% 19/19 100% 13/13 100% 21/21 100% 23/23 100% 22/23 96% 20/21 95% 17/18 94% 13/15 87%
Knee 39/39 100% 46/49 94% 30/30 100% 41/41 100% 30/32 94% 35/38 92% 37/37 100% 40/40 100% 40/40 100% 49/49 100% 38/40 95 42/43 98% 51/52 98%
Overall 55/56 98% 60/63 95% 47/49 96% 68/70 97% 48/50 96% 54/57 95% 50/50 100% 61/61 100% 63/63 100% 71/72 99% 58/61 95% 59/61 97% 64/67 96%

THKR-4 Preoperative Functional/Health Status Assessment

  Mar '22 Mar '22  April '22 April '22  May '22 May '22  June '22 June '22  July '22 July '22  Aug '22 Aug '22  Sep '22 Sep '22  Oct '22 Oct '22 Nov '22 Nov '22 Dec '22 Dec '22 Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23
Hip 17/17 100% 13/14 93% 19/19 100% 29/29 100% 17/18 94% 19/19 100% 13/13 100% 21/21 100% 23/23 100% 23/23 100% 21/21 100% 18/18 100% 14/15 93%
Knee 39/39 100% 48/49 98% 29/30 97% 40/41 98% 32/32 100% 38/38 100% 37/37 100% 40/40 100% 39/40 98% 47/49 96% 39/40 98% 43/43 100% 51/52 98%
Overall 56/56 100% 61/63 97% 48/49 98% 69/70 99% 49/50 98% 57/57 100% 50/50 100% 61/61 100% 62/63 98% 70/72 97% 60/61 98% 61/1 100% 65/67 97%

THKR-5 Postoperative Functional/Health Status Assessment

  Mar '22 Mar '22  April '22 April '22  May '22 May '22  June '22 June '22  July '22 July '22  Aug '22 Aug '22  Sep '22 Sep '22  Oct '22 Oct '22 Nov '22 Nov '22 Dec '22 Dec '22 Jan '23 Jan '23 Feb '23 Feb '23 Mar '23 Mar '23
Hip 12/24 50% 17/28 61% 14/22 64% 10/17 59% 4/14 29% 14/19 74% 22/32  69% 18/28 64% 19/37 51% 12/23 52% 10/21 N/A N/A N/A N/A N/A
Knee 24/40 60% 24/38 63% 26/50 52% 23/39 59% 23/49 47% 15/30 50% 34/48  71% 32/58 55% 45/85 53% 18/49 37% 23/40 N/A N/A N/A N/A N/A
Overall 36/34 56% 41/66 62% 40/72 56% 33/56 59% 27/63 43% 29/49 59% 56/80  70% 50/86 58% 64/122 52% 30/72 42% 33/61 N/A N/A N/A N/A N/A